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Residual of tumour left

calimac
Posts: 18
Joined: Nov 2011

I received the results of my MRI yesterday, Oncologist said there is less than 1 cm residual of the tumour left, Has anyone else had residual left? what was the next step.
Its 3 months since I finished treatment. original tumour was 2.3 cm. How long does radiation continue to work after treatment is finished.?
He ordered a biopsy for this Friday, then will wait (not patient) for the results.
Cali

mp327's picture
mp327
Posts: 2820
Joined: Jan 2010

My rad onc told me that it's possible for radiation to continue working for as long as up to a year. I wish you all the best with your upcoming biopsy and hope you don't have a long wait for the results. I am thinking good thoughts for you that it comes back negative.

calimac
Posts: 18
Joined: Nov 2011

Thank you Martha .
good to hear radiation can work for up to a year my oncologist was a little vague, depending on what biopsy shows will decide what is next for treatment. oncologist did say I wouldnt be getting any more radiation. Have you heard of Salvage surgery for residual of anal cancer?

Cali

mp327's picture
mp327
Posts: 2820
Joined: Jan 2010

The term "salvage surgery" used when talking about anal cancer refers to APR, which stands for Abdominoperineal Resection. This surgery involves removing the anus, rectum and lower portion of the colon and diverting the colon to a stoma on the left lower abdomen for a colostomy bag. This is the surgery none of us wants to have, but sadly, it is the standard protocol for residual or recurrent anal cancer after Nigro protocol (chemo/radiation). The good news is that Nigro is very effective in most cases. APR used to be the ONLY treatment for anal cancer some 40 years ago or so. It was discovered almost by accident by a doctor named Nigro that radiation was successful in eliminating anal tumors with high rates of survival and low rates of recurrence, comparable to survival rates of patients who had undergone APR. APR is major surgery, not to mention the life-altering after effects. Therefore, treatment of choice became Nigro protocol I believe sometime in the 70's. If you Google Nigro, you can read more about this. If I have stated any of the above info incorrectly, please correct me!

calimac
Posts: 18
Joined: Nov 2011

Martha.
I had also wondered what APR meant thanks for the explanation.
I will go Google Nigro.
Thank you
Cali

z810840b's picture
z810840b
Posts: 212
Joined: Jan 2010

My tumor was gone at the end of treatment.. I do remember the radiologist saying before he examined me,.. Not to worry . He's had patients with residual tumors and they continue to shrink, because radiation continues to work for months after.Hope this helps..

z810840b's picture
z810840b
Posts: 212
Joined: Jan 2010

My tumor was gone at the end of treatment.. I do remember the radiologist saying before he examined me,.. Not to worry . He's had patients with residual tumors and they continue to shrink. Radiation continues to work for months after.Hope this helps..

calimac
Posts: 18
Joined: Nov 2011

Z810840b
thank you so much, what your radiologist said sure makes feel so much better.
Cali

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